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General NPI Number Information
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NPI Number | 1912634825
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Entity Type | Individual
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Provider Name | STEPHANIE VRANES RINGWOOD NEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 1480 N 8000 W
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City | SALT LAKE CITY
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State | UT
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Zip | 84116-3961
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Country | US
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Telephone | 385-214-7556
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Fax |
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Provider Business Mailing Address
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Address Line | 3055 E COBBLE CANYON LN
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City | SANDY
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State | UT
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Zip | 84093-3812
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Country | US
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Telephone | 801-244-7133
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 13039452-1206
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License Number State | UT
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